Chapter

Juvenile idiopathic arthritis: surgical management

Nicholas D. Riley and A. Hashemi–Nejad

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.013024

Series: Oxford Textbooks

Juvenile idiopathic arthritis: surgical management

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  • Trauma and Orthopaedic Surgery
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Approximately 10% of juvenile idiopathic arthritis cases will require a surgical procedure

Non-operative management aims to prevent deformity, promote normal growth, and maintain function

Perioperative problems must be anticipated and managed appropriately

Deformity may be treated by soft tissue release and/or osteotomy

Synovectomy may be useful if the articular surface is well-preserved

Arthrodesis is rarely indicated except in the wrist/hand

Arthroplasty is successful in restoring function.

Chapter.  3478 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Rheumatology ; Paediatrics

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